Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $380.19	Professional		$190.55	$263.03	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,659.59 / $3,162.28	Facility		$691.83	$1,659.59	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $575.44	Professional		$524.81	$549.54	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $645.65	Professional		$269.15	$363.08	$645.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,047.13 / $1,174.90	Facility		$309.03	$1,047.13	$1,174.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $676.08	Professional		$245.47	$436.52	$676.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $389.05	Professional		$269.15	$363.08	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $588.84	Facility		$223.87	$436.52	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $363.08	Professional		$181.97	$257.04	$363.08